Evidence map›Paper›PMID 34989839›Full record

ArticleEuropean radiology2022

Gd-BOPTA-enhanced hepatobiliary phase MR imaging can predict the prognosis of patients with acute-on-chronic liver failure.

Chenxi Liu, Zijian Shen, Hui Ma, Xueqi Wang, Xinyu Wang, Keke Liu, Ximing Wang, Qiang Zhu, Xinya Zhao

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Chenxi LiuDepartment of Gastroenterology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 324, Jing 5 Rd, Jinan, 250021, Shandong Province, China.
Zijian ShenDepartment of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 324#, Jing 5 Rd, Jinan, 250021, Shandong Province, China.
Hui MaDepartment of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 324#, Jing 5 Rd, Jinan, 250021, Shandong Province, China.
Xueqi WangDepartment of Gastroenterology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 324, Jing 5 Rd, Jinan, 250021, Shandong Province, China.
Xinyu WangDepartment of Gastroenterology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 324, Jing 5 Rd, Jinan, 250021, Shandong Province, China.
Keke LiuShandong Academy of Clinical Medicine, Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, Shandong Province, China.
Ximing WangDepartment of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 324#, Jing 5 Rd, Jinan, 250021, Shandong Province, China.
Qiang ZhuDepartment of Gastroenterology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 324, Jing 5 Rd, Jinan, 250021, Shandong Province, China. zhuqiang@sdu.edu.cn.
Xinya ZhaoDepartment of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 324#, Jing 5 Rd, Jinan, 250021, Shandong Province, China. zhaoxinya2000@126.com.ORCID http://orcid.org/0000-0001-5856-347X
Shandong University · CNShandong Provincial Hospital · CN

Funding

natural science foundation of shandong province ZR2020MH285
6 · The paper itself

Abstract

objectivesTo determine the value of gadobenate dimeglumine (Gd-BOPTA)-enhanced magnetic resonance imaging (MRI) from the hepatobiliary phase for predicting poor outcome in acute-on-chronic liver failure (ACLF) patients.

methodsIn this single-center retrospective study, 74 patients diagnosed as ACLF who underwent Gd-BOPTA-enhanced hepatobiliary magnetic resonance imaging were collected. The quantitative liver-spleen contrast ratio (Q-LSC) and the relative enhancement ratio of the biliary system (REB) at the hepatobiliary phase were measured. Cox proportional hazards regression models were used to evaluate prognostic factors. The capacity of the Q-LSC and REB to predict the 90-day outcome was evaluated via receiver operating characteristic (ROC) curve.

resultsDuring the follow-up period, twenty-eight of 74 ACLF patients (38%) had a poor outcome. The Q-LSC and REB were significant predictive factors (hazard ratio [HR] = 0.03 [0.002-0.54], p < 0.05; HR = 0.07 [0.01-0.88], p < 0.05) for prognosis in patients with ACLF. Moreover, the areas under the ROC curves of Q-LSC and REB for predicting poor outcome in patients with ACLF were 0.81 and 0.80, respectively. The most appropriate cutoff values for the Q-LSC and REB were 1.09 and 0.57, respectively. The ACLF patients with the Q-LSC ≤ 1.09 or REB ≤ 0.57 had a low cumulative survival.

conclusionsGd-BOPTA-enhanced hepatobiliary phase MR imaging can predict poor outcome in patients with acute-on-chronic liver failure. KEY POINTS: • The quantitative liver-spleen contrast ratio at the hepatobiliary phase was a significant predictive prognostic factor in patients with acute-on-chronic liver failure. • The relative enhancement ratio of the biliary system at the hepatobiliary phase was a significant prognostic factor in patients with acute-on-chronic liver failure. • Gadobenate dimeglumine contrast-enhanced MR imaging from the hepatobiliary phase can predict poor outcome in patients with acute-on-chronic liver failure.

Indexed as

Acute-On-Chronic Liver FailureOrganometallic CompoundsContrast MediaGadolinium DTPAHumansLiverMagnetic Resonance ImagingMegluminePrognosisRetrospective StudiesContrast Mediagadobenic acidGadolinium DTPAMeglumineOrganometallic CompoundsAcute-on-chronic liver failureGadobenic acidMagnetic resonance imagingPrognosis

Identifiers

PMID34989839
OpenAlexW4206227183

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.